Audits and Coding Quality Reviews
The implementation and operation of this program is quite simple. Periodically (monthly, quarterly, semi-annually, or annually) participating practices send us a representative sample of their visit notes, procedure reports and claim forms. We perform a government-style audit of the coding, using all available screens and regulations. We then send you a case-by-case analysis of our findings. Our medical coding and surgical coding accuracy evaluations are designed to be part of a continuous quality improvement program. It gives our clients’ medical coders and surgical coders the feedback they need to more accurately code the patient-care services.
Have you been the target of a compliance audit? If you think you’re being treated unfairly, let us “audit the auditors.” Our findings can be your best defense!
Latest Blog Posts:
The US Attorney’s Office for the Middle District of Pennsylvania announced that Charles Cole Memorial Hospital agreed to pay the United States $373,547.54 to settle allegations that they failed to bill under a particular modifier […]
Report from the Department of Justice Fraud & Abuse Control for 2017 sheds light upon the importance of compliance
In April, the Government released last year’s accomplishments for their work in Healthcare Fraud and Abuse. In 2017 $2.6 billion was returned to the Federal Government or paid to private persons. Specifically; $1.4 billion was […]
Northwestern Memorial HealthCare and Crystal Lake (based out of Chicago) and Centegra Health System (Illinois based) could close their merger deal by Sept. 1, according to a recent filing with the Illinois Facilities & Services […]